DEEP SEA DIVERS DEN ADVICE TO DIVERS Date of birth by redheadwaitress

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									 DEEP SEA DIVERS DEN                            ADVICE TO DIVERS                                                        ASSESSMENT
                                                                                                                      To be completed Dive
 SCUBA diving qualification and experience:                                                                                Supervisor

 Name: ________________________________________________                       Date of birth: _____/_____/_____         1. Qualifications:
                                                                                                                         Supervision Req
 1. QUALIFICATIONS:
 Agency: _______________________ Cert. Level: __________________ Cert. Date: _____/_____/_____
                                                                                                                             Yes / No
        (e.g. PADI, NAUI, SSI, BSAC)     (e.g. Open Water, Advanced)                                                 Assessment Dive Req
                                                                                                                             Yes / No
 2. EXPERIENCE:
 Date of most recent dive: _____/_____/_____                Total dives to date: ________________
                                                                                                                         2. Experience:
 Ocean Diving: Yes / No.       Number of dives: ________ Date of last dive: _____/_____/_____                            Supervision Req
 Night Diving:    Yes / No.     Number of dives: ________ Date of last dive: _____/_____/_____                               Yes / No
                                                                                                                     Assessment Dive Req
 3. MEDICAL FITNESS:
 Do you consider yourself fit to dive? Yes / No.      Date of last Dive Medical: _____/_____/_____
                                                                                                                             Yes / No

 Are you currently suffering from any illness of injury? Yes / No.                                                   3. Medical Fitness:
 If ‘yes’ please specify: ____________________________________________________________                               Medical advice obtained:
 Are you currently taking any prescription medication (excluding oral contraceptives) Yes / No.                              Yes / No
 If ‘yes’ please specify: ____________________________________________________________                                (If yes please list below)
                                                                                                                         Supervision Req
 Since your last dive medical have you suffered from any conditions that may affect your fitness to dive?
                                                                        Yes / No
 Yes / No. If ‘yes’ please specify: _________________________________________________________
____________________________________________________________________________________

 You will receive a briefing from a crewmember for every dive site. You are advised to ensure you are familiar with the following before
 commencing any dive at a particular site:
     •     Boundaries of the dive site
     •     Environmental conditions at the site, e.g. depth, terrain, currents, visibility and behavior of marine animals likely to be encountered
     •     Entry and exit points from the vessel
     •     Location and roles of supervisory staff, especially Dive Supervisor and Lookout

 You are also reminded regarding the following about you diving practices:
     •   Regularly monitor air levels in air cylinders. The minimum for returning to the surface is 50 bar (or 750 psi)
     •   Always dive in buddy teams
     •   Never dive to depths greater than that to which you have been trained or have experience
     •   DIVING BEYOND 40 METRES DEPTH IS NOT ALLOWED FROM ANY DSDD VESSEL, PASSENGERS AND CREW INCLUDED
     •   You have a responsibility as a diver to dive safely and comply with the instructions of the crew

          RECALL PROCEDURES
          •  The under water recall signal is: continuous banging on the side of the hull of the vessel
          •  This is an EMERGENCY signal and will not be used unless an emergency exists
          •  When the recall signal is heard, all divers are to surface cautiously as soon as possible, all the time being aware that the
             vessel may be moving. Ascent speed should not exceed 18 metres per minute, but safety stops should be omitted.
          •  Upon surfacing, return to the vessel as soon as possible, unless otherwise directed by the crew
          •  The surface recall signal is: whistle or ship’s horn, with hand signal “come here”

          DISTRESS AND RESCUE PROCEDURES
          •   Any diver in distress underwater, is advised to surface as soon as possible, preferably at a rate not exceeding 18 metres
              per minute
          •   If possible, the diver’s buddy should be signalled before ascending
          •   If the diver has serious doubt about reaching the surface, they should drop their weightbelt and/or inflate their BCD
          •   Once on the surface, immediately establish positive buoyancy by inflating the BCD or dropping the weightbelt or both
          •   Once positively buoyant (floating) on the surface, signal for assistance by waving arms (distress signal), and/or taking
              one fin off and waving that towards boat and/or using the whistle to attract attention
          •   If all the above fails to get a response, or the vessel can not be seen, inflate the “safety sausage” and hold upright in the
              water
          •   If dusk or after dark, activate the chemical light stick provided
          •   Divers who are not in need of urgent or immediate assistance, but would like assistance back to the vessel, please raise
              one arm and hold this upright with a clenched fist
          •   To avoid “false rescues”, all divers are requested to signal “O.K.” back to the boat/lookout any time they arrive on the
              surface, or any time they are challenged for a signal by the lookout or crew
PLEASE advise the Dive Supervisor or snorkeling guide if you have any concerns about a medical condition
We also advise that you consider the following factors:
   1. The risks to health and safety from a build-up and release of nitrogen in the blood and bodily tissues because of multiple dives in
        any 24 hour period; or because of a series of dives over a number of days with inadequate surface intervals to allow the nitrogen
        to off-gas
   2. The risk to health and safety from nitrogen narcosis at depth and the need to move to shallower water if this occurs
   3. The danger of maximum bottom time non-decompression diving
   4. The risks of decompression diving
   5. The need for safety stops
   6. The risks associated with flying or altitude exposure after diving: The longer the period between diving and subsequent flying, the
        less likely it is that decompression illness will occur. After diving, you are advised to wait a minimum of 12 hours before flying in
        pressurized aircraft. Where divers have had multiple dives for several consecutive days or have made dives that require
        decompression stops, the minimum time before flying after diving should be extended to 24 hours
   7. The effects of dehydration after diving
   8. The risks associated with exertion after diving
   9. The risks associated with diving while ill
   10. You should remain aware of your own limitations and take these into account when diving
   11. You should make use of the flotation devices that are available: wetsuits and flotation vests (BCD’s)
   12. If you cannot swim, or have any concerns about diving, you should discuss these with the Dive Supervisor
   13. You should abstain from drinking alcohol prior to diving
   14. You should manage the risks of sun exposure and hypothermia, through the use of clothing, sun screen, wet suits and covering up
        from the wind on leaving the water
   15. A lookout wearing a brightly coloured shirt will be on duty at all times while diving and snorkelling is taking place and divers and
        snorkellers are advised to signal the lookout at any time if they require assistance
   16. The vessel is equipped with a first aid kit, oxygen, and suitably qualified crew to carry out this treatment if required
   17. A roll call will be conducted every time before the vessel departs any site

I, ____________________________________________________ hereby affirm that I am a certified diver, snorkeller or a student diver
under the control and supervision of a certified scuba instructor, and that I thoroughly understand the hazards of scuba diving, including
those hazards occurring during boat travel to and from the dive site. I understand that these hazards include being struck by a boat while in
the water, injuries occurring while getting on or off a boat, and other perils of the sea. By signing this release, I certify that I am fully aware
and expressly assume these risks involved in making such a dive or dives, whether conducted as a recreational dive or part of a diving
class.

I understand and agree that neither the master of the vessel, dive supervisor, divemasters, instructors, crew members, managers or owner
of the vessel, nor the vessels ReefQuest, SeaQuest, OceanQuest nor Ecrolight Pty. Ltd t/a Deep Sea Divers Den., nor the owners, officers,
employees, agents, or assigns of the above listed individuals and/or entities (herinafter “Released Parties”) may be held liable or
responsible in any way for any occurrence on this dive trip which may result in personal injury, property damage, wrongful death or other
damage to me or my family, heirs, or assigns that may occur as a result of my participation in this boat trip and scuba dive(s) or as a result
of the negligence of any party, including the Released Parties, whether passive or active.

I further state that I am of lawful age and legally competent to sign this liability release, or that I have obtained the written consent of my
guardian.

I do, by this instrument, exempt and release all the above listed parties and/or individuals from all liability and responsibility for personal
injury, property damage or wrongful death however caused, including, but not limited to, product liability or the negligence of the Released
Parties, whether passive or active.

I acknowledge that I have read the aforegoing paragraphs, fully understand the potential dangers incidental to engaging in this boat trip and
scuba dive(s), am fully aware of the legal consequences of signing this instrument, and that I understand and agree that this document is
legally binding and will preclude me from recovering monetary damages from the above listed entities and/or individuals, whether
specifically named or not, for personal injury, property damage or wrongful death caused by negligence or product liability.

PRINT NAME: ___________________________________________                                DATE: ________________________

SIGNATURE :___________________________________________

                                             TO BE COMPLETED BY DIVE SUPERVISOR

Medical advice obtained (if required):            Name of Doctor: ________________________________________________

………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………

Cert.Card seen: Yes / No. Logbook seen: Yes / No. In Water supervision req : Yes / No. Diving Assessment req: Yes / No

Dive Supervisor Name: ………………………..………… Dive Sup. Signature:……….…..………………….………………

								
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